| NPI | 1649374984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN ROBERT MARCO Owner 818-884-7724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G36325) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G36325) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2007-09-04 |